Deck 11: Pain Management

Question 1

Which of the following is a reliable source for quantifying pain?

A) The client's vital signs
B) The nature of the client's injury or condition
C) The client's description of the pain
D) The extent of the client's injury

Answer 1

The client's description of the pain

Question 2

Which of the following should the nurse recommend to a client with a bruised ankle to initially relieve pain associated with the injury and reduce localized swelling?

A) Acupuncture
B) Percutaneous electrical nerve stimulation (PENS)
C) Transcutaneous electrical nerve stimulation (TENS)
D) Applications of heat and cold

Answer 2

Applications of heat and cold

Question 3

Which of the following is the only reliable source for quantifying pain?

A) The nurse
B) The pain assessment tool
C) The physician
D) The client

Answer 3

The client

Question 4

Which of the following is the appropriate intervention to avoid physical dependence on drugs in a client?

A) Administer adjuvant drugs along with the prescribed drug.
B) Administer subtherapeutic doses.
C) Increase dosage of the drug.
D) Discontinue drugs gradually.

Question 5

When addressing nutritional needs related to pain control, which of the following is appropriate?

A) Promote a low-fiber diet.
B) Administer pain medications 30 minutes before meals.
C) Place on fluid restriction.
D) Encourage three nutritious meals daily.

Question 6

Which of the following is a required nursing intervention for a client receiving morphine sulfate?

A) Report bleeding gums.
B) Do not administer if respiratory rate is less than 12.
C) Monitor the client's weight.
D) Avoid caffeine.

Question 7

Which of the following is true regarding the use of narcotic analgesics in older adults?

A) An increased dosage is necessary for desired effect.
B) There is a decreased susceptibility to drug reactions.
C) There is an increased potential for falls related to sedation.
D) A short duration of pain relief is achieved.

Question 8

A client is being taught to self-administer a narcotic analgesic by means of an intravenous pump system. Which of the following would help prevent accidental overdosage?

A) Reducing the dosage of the narcotic analgesic
B) Reducing the frequency of administration of the narcotic analgesic
C) Programming the dosage and time interval into the device
D) Drawing up a schedule chart for the client

Question 9

Percutaneous electrical nerve stimulation (PENS) has which of the following advantages over transcutaneous electrical stimulation(TENS)?

A) It combines guided imagery with TENS.
B) The needles are located close to nerve endings.
C) It is administered for 15 minutes, three times a week for three weeks.
D) Needle electrodes are inserted into the muscle.

Question 10

How should the administration of analgesics be scheduled to provide a uniform level of pain relief to a client?

A) Administering the analgesics every three hours
B) Administering the analgesics intravenously
C) Administering the analgesics on an as-needed basis
D) Administering analgesics with increased dosage

Question 11

Which of the following is important when addressing client pain?

A) Schedule analgesics as needed.
B) Avoid the use of a patient-controlled analgesia pump.
C) Never doubt the need for pain relief.
D) Use alternative therapies sparingly.

Question 12

According to the Joint Commission, which of the following is a focus of assessment related to quality of pain?

A) Description in the client's own words
B) Site of pain
C) Rating for present pain
D) Period of time pain has existed

Question 13

Which phase of pain transmission occurs when the brain experiences pain at a conscious level?

A) Transmission
B) Modulation
C) Transduction
D) Perception

Question 14

A client has been using nonnarcotic analgesics daily over an extended period. Which of the following effects should the nurse carefully monitor for in this client?

A) Cardiac disorders
B) Urinary tract infection
C) Hypothyroidism
D) Gastrointestinal bleeding

Question 15

Which type of pain arises from an internal organ, such as the kidneys?

A) Nociceptive
B) Somatic
C) Visceral
D) Neuropathic

Question 16

A client is prescribed pain medications. Which of the following interventions will enable the client to consume an adequate meal during treatment?

A) Administer the medication with plenty of fruit juice.
B) Administer the medication intravenously.
C) Administer the medication 30 to 45 minutes before meals.
D) Administer the medication 30 to 45 minutes after meals.

Question 17

Which of the following pain assessment tools is most commonly used in adults?

A) Word scale
B) Numeric scale
C) FACES scale
D) Linear scale

Question 18

An older adult is being treated with opioids for pain relief. Which of the following should the nurse strongly recommend to this client?

A) Exercise regularly.
B) Avoid harsh sunlight.
C) Follow a bowel regimen.
D) Reduce fiber intake.

Question 19

Which of the following nursing interventions contributes to achieving a client's goal for pain relief?

A) Minimize the client's description of pain or need for pain relief.
B) Collaborate with the client about his or her goal for a level of pain relief.
C) Use all forms of available pain management techniques.
D) Prevent the client from self-administering analgesics.

Question 20

When administering corticosteroids, it is important for the nurse to do which of the following?

A) Taper doses when discontinuing.
B) Monitor for excessive sedation.
C) Avoid alcohol.
D) Monitor blood levels.

Question 21

Carbamazepine (Tegretol) is an example of which medication classification used in analgesia?

A) Opioid
B) Corticosteroid
C) Anticonvulsant
D) Psychostimulant

Question 22

Acute pain can be distinguished from chronic pain by assessing which characteristic?

A) Acute pain responds poorly to drug therapy.
B) Chronic pain diminishes with healing.
C) Acute pain is specific and localized.
D) Chronic pain is symptomatic of primary injury.

Question 23

What term refers to the time the pain began?

A) Duration
B) Onset
C) Intensity
D) Quality